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Across the States 2018: Profiles of Long-Term Services and Supports

Across the States 2018: Profiles of Long-Term Services and Supports is the 10th edition of the AARP Public Policy Institute’s state long-term services and supports (LTSS) reference report.

Published for the past 24 years, Across the States presents comparable state-level and national data from a large number of studies and data sources—including some original analysis not found elsewhere—into a single volume.

The purpose of this flagship publication is to help policy makers, administrators, and stakeholders make informed decisions about LTSS public policies and programs. Topics include: age demographics and projections; living arrangements, income, and poverty; disability rates; costs of care; private long-term care insurance; Medicaid long-term services and supports (LTSS); family caregivers; home- and community-based services (HCBS); and nursing facilities.


Listen Now Senior Strategic Policy Advisor Wendy Fox-Grage joins Chris Ryan on New Hampshire Talk Radio WKXL to discuss the state’s 50th ranking on home- and community-based services spending.

State Reports

Each state profile is a four-page, user-friendly, print-ready document that provides state specific data and rankings.  

Long-Term Services & Supports State Scorecard

A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers


Aging Demographics

One in Three Americans is Now 50 or Older

By 2030, one out of every five people in the United State will be 65-plus. Will your community be ready?

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